| NPI | 1316905524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC4189) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 5199) |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2023-08-13 |